Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Amy Michelle Medalie, NP

Individual provider Pediatric Nurse Practitioner · NPI 1003045204

Mrs. Amy Michelle Medalie, NP is a Pediatric Nurse Practitioner in Fort Worth, Texas. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2009
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4405 River Oaks Blvd
Fort Worth, TX 76114-2326
Phone: (817) 624-1770
Fax: (817) 625-1287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 255 Union Blvd Ste 120, Lakewood, CO 80228-1833 — (303) 936-7415

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 6037 (CO)

Record details

NPI number1003045204
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 8, 2009
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021

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